Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KARINA PETRYSHOVA PSYD
NPI 1619454279
Psychologist - Clinical in Tallahassee, FL

Active since July 25, 2018PECOS Enrolled
1616 PHYSICIANS DR, TALLAHASSEE, FL 32308(510) 841-1262 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Aug 26, 2026, Jul 25, 2018 (2 updates tracked since 2018).

About Karina Petryshova Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KARINA PETRYSHOVA PSYD (NPI 1619454279) is an individual clinical provider in Tallahassee, Florida, licensed in Florida (PY13260) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619454279
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKARINA PETRYSHOVACredential: PSYD
Location Address1616 PHYSICIANS DRTallahassee, FL 32308-4619
Mailing Address1616 Physicians DrTallahassee, FL 32308-4619
Sole ProprietorNo
Enumeration DateJuly 25, 2018
Last NPPES UpdateAugust 26, 20262 updates tracked since enumeration
NPPES CertifiedAugust 26, 2026
✔ NPI 1619454279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in FL · PY13260
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1616 PHYSICIANS DR, Tallahassee, FL 32308

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karina Petryshova Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32308 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1616 PHYSICIANS DR
TALLAHASSEE, FL 32308
Psychiatric Hospital
1616 PHYSICIANS DR
TALLAHASSEE, FL 32308
Counselor (Mental Health)
1616 PHYSICIANS DR
TALLAHASSEE, FL 32308
Nurse Practitioner (Psychiatric/Mental Health)
1616 PHYSICIANS DR
TALLAHASSEE, FL 32308
Counselor (Mental Health)
1616 PHYSICIANS DR
TALLAHASSEE, FL 32308
Counselor (Mental Health)
1616 PHYSICIANS DR
TALLAHASSEE, FL 32308
Psychiatry & Neurology (Psychosomatic Medicine)
1616 PHYSICIANS DR
TALLAHASSEE, FL 32308
Psychiatry & Neurology (Psychiatry)
1616 PHYSICIANS DR
TALLAHASSEE, FL 32308

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Karina Petryshova's NPI number?

The NPI number for Karina Petryshova is 1619454279. It was assigned to this individual provider in the NPPES registry on July 25, 2018.

Where is Karina Petryshova located?

Karina Petryshova practices at 1616 Physicians Dr, Tallahassee, FL 32308. The listed phone number is (510) 841-1262.

What is Karina Petryshova's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Karina Petryshova enrolled in Medicare?

Yes. Karina Petryshova is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Karina Petryshova was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.